Individual provider · Type 1 NPI

Kimberly McCutcheon, MHR, LPC, CCTP-II

Professional Counselor · Newalla, OK

NPI number 1124379110 Active

Practice location

17520 Thunderbird Hills Rd
Newalla, OK 74857-9438

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC05726 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400XLPC05726 (OK)
Mental Health Counselor 101YM0800XLPC05726 (OK)
Counselor 101Y00000XNone listed

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About NPI 1124379110

Kimberly McCutcheon, MHR, LPC, CCTP-II's National Provider Identifier is 1124379110, issued on Oct 1, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newalla, OK. The record was last updated on Sep 13, 2024.